Brandon Robert Mcnickle, PA-C
NPI #1053789719 in Goodlettsville, Tennessee
Provider Information
- NPI Number
- 1053789719
- Entity Type
- Individual
- Name
- Brandon Robert Mcnickle, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 10, 2015
- Last Updated
- Apr 3, 2023
Practice Location
- Address
- 201 BLUEBIRD DR
- City
- Goodlettsville
- State
- Tennessee
- ZIP Code
- 37072-2301
- Phone
- (615) 859-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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